Provider Demographics
NPI:1356648083
Name:TRICIA KALKA, LMP, LLC
Entity Type:Organization
Organization Name:TRICIA KALKA, LMP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALKA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:970-596-0534
Mailing Address - Street 1:211 N IOWA ST
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2219
Mailing Address - Country:US
Mailing Address - Phone:970-596-0534
Mailing Address - Fax:
Practice Address - Street 1:211 N IOWA ST
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2219
Practice Address - Country:US
Practice Address - Phone:970-596-0534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty